| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.44 | $33.44 | $33.44 | |
Aetna
| Professional | $14.11 | $15.02 | $24.77 | |
BCBS
| Professional | $50.00 | $50.00 | $50.00 | |
Cigna
| Professional | $22.32 | $22.32 | $24.91 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $15.92 | $28.99 | $57.65 |